Town of Blackstone

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3724 Issued in MA

Legal business name

TOWN OF BLACKSTONE

Doing business as

Town of Blackstone Fire Department

Practice address

15 Saint Paul St
Blackstone, MA 01504-2276

Phone

(508) 883-1500

NPI assigned

Aug 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Sweeney

Title

Chief

Phone

(508) 883-1030

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Town of Blackstone Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1053428953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SAINT PAUL ST",
            "city": "BLACKSTONE",
            "state": "MA",
            "postal_code": "015042276",
            "telephone_number": "508-883-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF BLACKSTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "508-883-1030"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3724",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "035359",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TB51719",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715615",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "806688",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Blackstone Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Mary Sidla, PHARMD
• Summer Rae Smith
• Emily Jeanne Spearin
• Anna Lynn St. Laurent
• Michelle Tamulionis
• Nancy White

• Land Ambulance in Blackstone, MA
• Providers in Blackstone, MA by specialty
• Land Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.